Iti Physical Therapist

Brief Application for Employment

We invite i it you to t consider i joining j i i the t dedicated i t staff t ff at t the t Cerebral l Palsy l Association i ti of f Nassau County. t . We offer ff a competitive titi salary l and a variety i t of f valuable l l benefits t including i l i medical i l and dental t l as well ll as the t possibility i ilit to t have your college ll courses funded f and// or tuition t iti reimbursed. i . The rewards of f a career at t CP Nassau go beyond a paycheck and include i l the t opportunity t it to t learn, l, grow,, contribute t i t and make a difference iff in i the t lives li of f individuals i i i l with it disabilities. i iliti . With it the t variety i t of f programs and services i offered ff here,, we are certain t i you will ill find positions iti that t t interest i t t you and offer ff great t potential t ti l for f success. . Name * Malyisha Stokes

Address * 91 S Bay Ave

Street tr t Address r

Street tr t Address r Line i 2

Freeport

City it

NY

State t t / / Province r i

11520

Postal t l / / Zip i Code

Cell ll Phone Number * 516 -

Area r Code

2704435

Phone Number r

Email il * *********@*****.***

example@l example.l . com

Have you ever filed l an

application li ti here before? f

*

Yes

No

Have you ever been

employed l here before? f

*

Yes

No

Are you available il l for f

work? *

Full ll Time i

Part t Time i

Shift ift Work

Temporary

Summer

Per Diem i

What t shifts ift are you

available il l to t work? *

Days

Evenings i

Overnights i t

Weekdays

Weekends

Do you have a valid li New

York State t t driver's i '

license? li *

Yes

No

Education: i (Check highest i t level l l completed) l t Education ti level: l l: * Did i not t complete l t high i school l / / GED High i School l / / GED

Two year associate i t degree

Bachelor's l ' degree

Graduate t college ll degree

High school diploma

Department of Interest: I

Adult lt Day Programs: : Any Adult Day Program

Children's il ' Learning i

Center: t :

Teacher

Community it Habilitation ilit ti Per-diem

Nursing: i : Registered Nurse (Residential) - Nassau County, NY Maintenance: i t :

Medical i l Physical Therapist

Residential i ti l Home: : DSP/DSP2 - Freeport, NY Other: t :

Feedback:

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